Objective To evaluate the effectiveness of general movements (GMs) assessment through the coordination across the continuum of primary,secondary and tertiary healthcare systems. Method GMs assessment results were obtained by means of Minhang electronic health records (EHR). Results During the past five years,11 710 high risk infants were conduct GMs assessment,and the coverage rate rised up from 19.39% to 80.58%,meanwhile the abnormal rate of writhing and fidgety movements were 0.37% and 0.57% respectively,but there was no significant difference.There was significant difference between suspected rate of writhing and fidgety movements (25.49% vs 2.4%) ,and the rehabilitation intervention rate rised up to 53.26% from 13.04%,but writhing movements of which was lower than that of the fidgety movements. Conclusion Through the coordination across the continuum of primary,secondary and tertiary healthcare systems,infant neurological screening and intervention work during the early age have been improved.
Key words
general movements /
high risk infant /
healthcare system /
effectiveness
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